Skip to content

Centers for Medicare and Medicaid Services (CMS)

The Centers for Medicare and Medicaid Services is the federal agency that runs Medicare and works with states on Medicaid and the Children's Health Insurance Program. It also oversees the health insurance marketplaces created by the Affordable Care Act and sets standards for payment and quality. It is part of the Department of Health and Human Services.

People usually bring questions about how to enroll, what each program covers, and how Medicare and Medicaid differ. Others ask how to appeal a decision or report fraud, and how marketplace plans and subsidies work.

54articles
October 5last updated

An independent team explaining how government works

GovFacts is a nonpartisan site that makes government concepts, policies and programs easier to understand and use.

Referenced by Brookings, CNN, Forbes, Fox News, Pew Research, Snopes, The Hill and USA Today.

The Webby-recognized AI behind our articles »

Latest in Centers for Medicare and Medicaid Services (CMS)

All Articles on Centers for Medicare and Medicaid Services (CMS)

Managing Your Marketplace Health Plan: How to Change or Cancel Coverage

The Health Insurance Marketplace, accessible through HealthCare.gov, is a service designed by the federal government under the Affordable Care Act (ACA). Its purpose is…

38 Min Read

Navigating Health Insurance Outside of Open Enrollment: Understanding Special Enrollment Periods

The main time for individuals and families to sign up for health insurance through the Health Insurance Marketplace occurs during the annual Open Enrollment…

38 Min Read

Small Business Health Options Program (SHOP): Insurance for Employers

The Small Business Health Options Program (SHOP) is an online health insurance marketplace created under the Affordable Care Act. United Healthcare and HealthInsurance.org describe…

37 Min Read

Does the Marketplace Offer Dental Plans? Your Guide to Coverage Through HealthCare.gov

The Health Insurance Marketplace, accessible via HealthCare.gov, does provide pathways to obtain dental coverage. This guide offers information about how dental plans work within…

41 Min Read

Reporting Life Changes to the Health Insurance Marketplace: A Complete Guide

Life is full of changes, big and small. Getting married, welcoming a new child, or experiencing a job loss are significant events that can…

35 Min Read

Finding Local Help: Navigators vs. Brokers for Marketplace Enrollment

The Health Insurance Marketplace, established by the Affordable Care Act (ACA), serves as a central hub for individuals and families to find, compare, and…

29 Min Read

How to Choose an ACA Health Plan: Bronze, Silver, Gold, Platinum

Navigating health insurance options can feel complex. Understanding the basics of plans offered through the Affordable Care Act (ACA) Health Insurance Marketplace® can empower…

54 Min Read

How Income Changes Affect Your Marketplace Subsidies

Your household income is one of the most important factors determining how much financial help you can get to pay for your Health Insurance…

44 Min Read

Keeping Your Medicaid: A Complete Guide to Reporting Changes to Your State Agency

Maintaining Medicaid coverage requires beneficiaries to keep their information current with their state agency. Life changes happen and can impact eligibility for health benefits.…

25 Min Read

About the Health Insurance Marketplace (HealthCare.gov)

The Health Insurance Marketplace®, often accessed through HealthCare.gov, is a key service established under the Patient Protection and Affordable Care Act (ACA) of 2010.…

64 Min Read